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PERMIT APPLICATION <br />BUILDING MECHANICAL PLUMBING <br />OWNER MAIL AUDHESS ZIP <br />�t� !� Co ►J. u1. 1 Scb-' 415 i . S-r. gg�to 1 <br />PHONIz <br />255 .�9n o <br />. <br />ARCH.TEr(T DESIGNER MAILADDRESS <br />15 <br />PHONE <br />6 f <br />LICENSE NO. <br />�OR <br />c6uvWt-r Soh n <br />SOAM-f fn 0. J <br />GE ERAL CONT a� abfld2 ACTOR MAIL ADDRESS PHONE <br />�,-�. <br />LICENSE NO. <br />ME ANICAL CONTRACTOR rr .. ff /�SAIL ADD PHONE <br />5 - ?1Jerj2# U% <br />LICENSE NO. <br />'e rm ^ aIw M�T'aC_ <br />1 , <br />PLUMBING CONTRACTOR MAIL AODeESS ('HONE <br />LICENSE NO. <br />CLASSOFWORK <br />argu­iLDING ❑ PLUMBING MECHANICAL ' <br />NUMBER OF STORIES <br />BASMENT ^_ <br />❑NEW []ADDITION. L7ALTERATION <br />❑REPAIR <br />VALUATION OF WORK <br />. <br />+:Co <br />❑DEMOLISH ❑FENCE ❑SIGN ❑SWIMMING <br />POOL <br />S <br />DESC EWORK <br />�aAis� �cisf. F�enr F,6AA <br />4r vOW <br />PROPOSEDU E <br />0c�ce-- oJc2 <br />LEGAL DESCRIPTION OF PROPERTY (SHOW BELOW OR ATTACH <br />FOUR COPIES( i—. <br />LOT. BLOCK —OF <br />JOB ADDRESS l� OQ ^',�((ti <br />PLUMBING <br />MECHANICAL <br />TYPE OF FUEL ❑OIL ❑LPG. PLOT PLAN <br />ST. <br />NO. TYPE OF EQUIPMENT <br />Draw plot plan <br />NO. TYPE OF FIXTURE OR ITEM <br />AIR COND. UNITS-H.P. EA. <br />OR back side. <br />WATER CLOSET (TOILET( <br />REFRIGERATION UNITS-H.P. EA. <br />BATHTUB <br />BOILERS-H.P. EA. <br />LAVATCAY iWASH BASIN) <br />GAS FIRED A.C. UNITS -TONNAGE EA. <br />SHOWER <br />KITCH5% SINK& DISP. <br />FORCED AIR SYSTEMS-B.T.U. M EA. <br />DISHWASHER <br />WALL HEATERS-B.T.U. M <br />LAUNO�Y TRAY <br />UNIT HEATERS-B.T.U. M <br />CLOTH=SWASHER <br />EVAPORATIVE COOLERS <br />WATER HEATER <br />CLOTHES DRYERS <br />URINAL <br />VENTILATION FAN <br />DRINKI\G FOUNTAIN <br />RANGE HOOD <br />FLOOR -SINK OR DRAT?J <br />AIR HANDLING UNIT- C.F.M. <br />VACUL:.'SREAK ERS <br />ROOF CRAINS-RAINLEAOERS <br />INCINERATOR <br />SINK (SERVICE -BAR, ETC.) <br />O :1 Ll0 <br />bvW 5 <br />CITY -USE ONLY BELOW <br />SIDE YARD SETBACK STREETSETBACK <br />HEAR YARDSETBACK <br />x <br />3'a 7L <br />USE ZONE LOT AREA <br />VACANT SITE SIGNATURE OF CONT ACTOR OR AUTH.A NT DA E <br />OYES ONO FEES ' <br />TYPE OF CONST. OCCUPANCY GROUP <br />NO. OF DWELLING <br />PLAN CK <br />VALUATION <br />UNITS <br />SIZE OF BLDG, NO. OF STORIES <br />MAX. OCC. LOAD BLDG PMT % <br />MECH PMT 1— <br />PLAN CK NO 7(0 - 541 <br />PLBG PMT <br />FIRE 20NE BAS M NT <br />RrOU1RED KLER TOTAL Z7-0 <br />OYES ONO <br />